2023 AIM/Expeditions Mature Adult Christian Reference

-Mature Adult Reference-
You have been asked to complete this form for a student applying for a short-term missions trip through the Assemblies of God Ambassadors in Mission (AIM) and/or Chi Alpha Expeditions program. Your cooperation in answering the following questions will help us decide whether the applicant will fit into either program. We appreciate you taking the time to complete this form, please know your insight will be kept confidential.

Please note that reference forms cannot be completed by relatives or spouses of the trip participant. Thank you!
Applicant Name - (filled out by designated leader only)*

First NameLast Name
I have been personally acquainted with this applicant for number* years.
How well do you know the applicant?*

SlightlyCasuallyWellVery Well
Do you believe the applicant is a committed Christian?
How involved is the applicant in church?*

NoneSlightlyInvolvedVery involved
What special talents has he/she shown?*
What special leaderships abilities has he/she shown?*
To your knowledge has the applicant participated in the use of intoxicants, tobacco, or illegal drugs?*

YesNo
If yes, please explain:*
Do you know of any reason why the applicant wouldn't be suitable to participate on an AIM trip?*

YesNo
If yes, please explain:*
PLEASE ANSWER THE FOLLOWING PERTAINING TO THE AIM APPLICANT:
Christian life*
Social Adaptability*
Ability to get along with others*
Leadership*
Teachableness*
Cooperation*
Motivation*
Respect towards Authority*
Emotional Stability*
Health*
Recommendation*

Yes, I am personally acquainted with applicant and in my opinion declare that applicant is competent and qualified to work with minors. I have no knowledge of facts or allegations that raise any question concerning his/her suitability and trustworthiness for working with minors.No, Based on my knowledge of applicant I DO NOT recommend him/her to work with minors.
Additional Comments:
Please Complete:

The person providing this reference may not be related to the trip applicant.
Person Completing Form Name*

First NameLast Name
Signature (use cursor or finger)*

Clear
Date Signed
approval

ApprovedNot Approved
Should be Empty:

-Mature Adult Reference-

Please Complete: